Provider Demographics
NPI:1134408461
Name:JONES, SANDRA SUE (FNP-BC)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:SUE
Last Name:JONES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2983 MCCANLESS RD
Mailing Address - Street 2:
Mailing Address - City:NOLENSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37135-9438
Mailing Address - Country:US
Mailing Address - Phone:615-594-9786
Mailing Address - Fax:
Practice Address - Street 1:2727 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:TN
Practice Address - Zip Code:37062-9088
Practice Address - Country:US
Practice Address - Phone:615-799-0101
Practice Address - Fax:615-799-0202
Is Sole Proprietor?:No
Enumeration Date:2011-08-04
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN16014363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily